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Dix–Hallpike test and Epley manoeuvre

…at the time of examination and that the examiner is experienced with the head impulse test; performed on the wrong patient or by an inexperienced…

Dilated Cardiomyopathy (DCM): Definition, Types, Diagnostics & Treatment

…to idiopathic or genetic dilation of the left ventricle . Patients with DCM typically develop heart failure early in life and a family history of heart…

Cardiac amyloidosis

…or a reduced requirement for antihypertensives, should prompt clinical suspicion [1]. Cardiac Signs and Symptoms Patients often present with symptoms of predominant right heart failure…

Constrictive pericarditis: definition, causes, diagnosis & echocardiography

…Conventional thoracic X ray sometimes reveals calcification of the pericardium. With MRI or CT, the thickness of the pericardium can be measured and in most…

Cardiac Tamponade: Recognition and Pericardiocentesis

…mass. Tamponade occurs when intrapericardial pressure equals or exceeds right atrial pressure. The haemodynamic consequences are progressive impairment of right and left sided filling, reduced…

Resistant Hypertension: Evaluation and Treatment

…medication or dietary sodium restriction may therefore mimic pharmacological resistance or contribute directly to persistent hypertension. Resistant hypertension is associated with a higher likelihood of…

Spirometry

…or an intracranial aneurysm Contact the responsible specialist An aortic aneurysm 6 cm Relative — avoid forced manoeuvres An ongoing respiratory infection with a risk of…

Echocardiography in cardiomyopathies: an overview

…valvular disease or congenital heart disease. Cardiomyopathy leads to impaired cardiac function and heart failure. There are six main types of cardiomyopathy: Hypertrophic cardiomyopathy (HCM…

Brugada Syndrome: Diagnosis & SCD Prevention

…fraught with controversies, particularly regarding the risk stratification of asymptomatic patients, the prognostic utility of electrophysiological studies (EPS), and the transition from a purely device…

Blood transfusion and massive haemorrhage

…the criteria for activation of the massive transfusion protocol. Plasma and platelets: in ongoing bleeding with coagulopathy, or as part of balanced transfusion in massive…

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